How much rates vary
Facilitymedian $151 · 10th to 90th $89 to $407Professionalmedian $138 · 10th to 90th $72 to $224
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $302.00 | Professional | None | $104.71 | $104.71 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $165.96 Typical High $245.47 | Facility | None | $151.36 | $165.96 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $151.36 Typical High $186.21 | Professional | None | $93.33 | $151.36 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $407.38 Typical High $630.96 | Facility | None | $89.13 | $407.38 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $281.84 | Professional | None | $74.13 | $104.71 | $281.84 |
DeanCare Setting Facility Modifier None Typical Low $39.81 Median $147.91 Typical High $169.82 | Facility | None | $39.81 | $147.91 | $169.82 |
DeanCare Setting Professional Modifier None Typical Low $162.18 Median $218.78 Typical High $229.09 | Professional | None | $162.18 | $218.78 | $229.09 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $147.91 Typical High $691.83 | Facility | None | $70.79 | $147.91 | $691.83 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $93.33 Typical High $724.44 | Professional | None | $67.61 | $93.33 | $724.44 |
Network Health Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Network Health Setting Professional Modifier None Typical Low $107.15 Median $138.04 Typical High $257.04 | Professional | None | $107.15 | $138.04 | $257.04 |
Prevea360 Setting Facility Modifier None Typical Low $39.81 Median $147.91 Typical High $169.82 | Facility | None | $39.81 | $147.91 | $169.82 |
Prevea360 Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $147.91 | Professional | None | $83.18 | $83.18 | $147.91 |
Quartz Setting Professional Modifier None Typical Low $138.04 Median $199.53 Typical High $316.23 | Professional | None | $138.04 | $199.53 | $316.23 |
Quartz Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $95.50 | Facility | None | $89.13 | $89.13 | $95.50 |
Quartz Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $95.50 | Professional | None | $74.13 | $74.13 | $95.50 |
Security Health Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Security Health Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $194.98 | Professional | None | $151.36 | $151.36 | $194.98 |
United Setting Professional Modifier None Typical Low $48.98 Median $72.44 Typical High $134.90 | Professional | None | $48.98 | $72.44 | $134.90 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $9.33 Median $9.33 Typical High $10.47 | Professional | RR · Rental | $9.33 | $9.33 | $10.47 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $70.79 Typical High $75.86 | Professional | UE · Used equipment | $70.79 | $70.79 | $75.86 |
Where Wisconsin sits
The same service costs 2.1 times more in Idaho than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Wisconsin· 9th of 51
$138
ID $155DE $74.13
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.